Active NPI
Matthew Sharp, D.O.
- Child & Adolescent Psychiatry Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 6492
- Practice address
- 3417 E 39TH St
Tulsa, OK 74135-4633 - Phone
- (405) 201-3692
- NPI assigned
- Feb 16, 2017
- Last updated
- Aug 25, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 6492 | OK | Primary |
Addresses
Primary practice location
3417 E 39TH St
Tulsa, OK 74135-4633
Mailing address
1620 E 12TH St
Tulsa, OK 74120-5407
Phone (918) 588-8807
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1239 S Trenton Ave
Parkside Psychiatric Hospital and Clinic
Tulsa, OK 74120-5420
Phone (918) 588-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6492 | OK | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parkside, Inc. | Single Specialty | Current | Accepting new patients |
| Parkside, Inc. | Single Specialty | Current | Accepting new patients |
| Parkside, Inc. | Single Specialty | Current | Accepting new patients |
| Parkside, Inc. | Single Specialty | Past | Accepting new patients |
| Parkside, Inc. | Past | Accepting new patients | |
| Parkside, Inc. | Single Specialty | Past | Accepting new patients |
| Acadia Healthcare, Inc | Single Specialty | Past | Accepting new patients |
Locations
1239 S Trenton Ave
Tulsa, OK 74120
Phone (918) 582-2131
1620 E 12th St
Tulsa, OK 74120
Phone (918) 582-2131
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatric Hospital Unit
- Tulsa, OK
- NPI 1346461688
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bangor, ME
- NPI 1568477297
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692921600000",
"number": "1790224293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 E 12TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741205407",
"telephone_number": "918-588-8807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3417 E 39TH ST",
"city": "TULSA",
"state": "OK",
"postal_code": "741354633",
"telephone_number": "405-201-3692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARP",
"first_name": "MATTHEW",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-02-16",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OK",
"license": "6492",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.